| NPI | 1801122460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ELIAS VP 248-577-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2020-01-23 |